Montgomery, Deborah G
Montgomery, Deborah G is an individual health care provider with primary practice located at 5653 Frist Blvd Suite 630, Hermitage TN 37076-2062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Montgomery, Deborah G can be contacted via phone (615) 391-3971.Contact Information
Primary practice address
5653 Frist Blvd Suite 630
Hermitage TN 37076-2062
Phone: (615) 391-3971
Fax: (615) 345-0942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14151 | Tennessee |
Profile Details
| NPI number | 1194779009 |
|---|---|
| LBN Legal business name | Montgomery, Deborah G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Feb 20th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194779009 | NPPES |
| Tennessee | Other | B04592 | HEALTHSPRING |
| Tennessee | Other | P3078319 | HEALTHSPRING |
| Tennessee | Other | 4060491 | HEALTHSPRING |
| Tennessee | Other | P00002737 | HEALTHSPRING |
| Tennessee | Other | 2183251 | HEALTHSPRING |
| Tennessee | Other | 4119718 | HEALTHSPRING |
| Tennessee | Other | 4060491 | HEALTHSPRING |
| Tennessee | MEDICAID | 3194328 | HEALTHSPRING |
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